Organization Active NPI

Vascular Atlanta Inc

  • Vascular & Interventional Radiology Physician
  • Duluth, GA
National Provider Identifier
1710541990
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
VASCULAR ATLANTA INC
Practice address
3840 Peachtree Industrial Blvd Ste 275B
Duluth, GA 30096-5031
Phone
(404) 977-1238
Fax
(404) 600-1178
NPI assigned
Apr 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Neel Anilkumar Patel, MDNPI 1174837231
Title
Owner
Phone
(770) 608-3728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

3840 Peachtree Industrial Blvd Ste 275B
Duluth, GA 30096-5031

Mailing address

2637 Kinnett CT SW
Lilburn, GA 30047-5739
Phone (770) 608-3728

Other practice location 1

2855 Candler Rd Ste 10B
Decatur, GA 30034-1415
Phone (404) 977-1238

National Provider Directory

National Provider Directory

Locations

2855 Candler Rd
Ste 10B
Decatur, GA 30034
Phone (404) 977-1238

3840 Peachtree Industrial Blvd
Ste 275B
Duluth, GA 30096
Phone (404) 977-1238

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559865600000",
    "number": "1710541990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 KINNETT CT SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300475739",
            "telephone_number": "770-608-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 PEACHTREE INDUSTRIAL BLVD STE 275B",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965031",
            "telephone_number": "404-977-1238",
            "fax_number": "404-600-1178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2855 Candler Rd Ste 10B",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300341415",
            "country_code": "US",
            "telephone_number": "404-977-1238",
            "fax_number": "404-977-1238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VASCULAR ATLANTA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-06-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NEEL",
        "authorized_official_middle_name": "ANILKUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-608-3728",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.